Attachment L-2 - Past Performance Information

Solicitation No.: N00173-13-R-RV09 Solicitation No.: N00173-13-R-RV09

INSTRUCTIONS, CONDITIONS AND NOTICES TO OFFERORS

Attachment L-2

Past Performance Questionnaire

Offerors are responsible for sending copies of the PAST PERFORMANCE QUESTIONNAIRE (next four pages) to references.

Instructions to Offeror

1. For each reference submitted in your proposal, enter the required information in Section A.

2. Transmit the entire questionnaire to the identified Points of Contact (POCs) and place one copy of each Section A in your proposal submittal.

Notes

OFFERORS MUST TRANSMIT THE QUESTIONNAIRES TO THE POC FOR EACH REFERENCE.

ONCE COMPLETED BY THE POC, QUESTIONNAIRES MUST BE DIRECTLY TRANSMITTED TO THE GOVERNMENT AS DESCRIBED ON THE FOLLOWING PAGE. COMPLETED QUESTIONNAIRES RECEIVED FROM OFFERORS ARE NOT ACCEPTABLE.

PAST PERFORMANCE QUESTIONNAIRE

Instructions to Evaluator

The Naval Research Laboratory is procuring several Roll Pitch Stabilized Antenna Systems. Evaluation of an Offeror’s past performance is integral to our source selection process. Accordingly, we request your candid assessment of the Offeror’s past performance; please see Section A below for the identity of the Offeror and contract of interest.

Once completed, this questionnaire and any appended information becomes Source Selection Sensitive and must be protected from disclosure. Access to this information shall be limited to Government procurement officials.

Please forward the completed questionnaire no later than <OFFEROR TO COMPLETE WITH SOLICITATION CLOSING DATE AND TIME> to

Naval Research Laboratory

Attn: Reese Van Wyen Code 3220

4555 Overlook Ave. S.W.

Washington, DC 20375

Email: reese.vanwyen@nrl.navy.mil Hand-written evaluations are acceptable. All evaluations must relate solely to the Offeror and the contract, task, or order identified in SECTION A. Please answer each question in SECTION B by circling one of the ratingsO E G M U N/A, where:

O-Outstanding; E-Excellent; G-Good;

M-Marginal; U-Unsatisfactory/A-Not Applicable Outstanding - Contractor performance substantially exceeded expected levels of performance.

Excellent- Contractor performance exceeded expected levels.

Good – Performance met expected levels.

Marginal - Performance was less than expected.

Unsatisfactory- Performance was significantly less than expected.

In addition, please provide supporting comments for each rating. Please use your supporting comments to highlight the Offeror’s specific strengths and weaknesses. You may use additional sheets if required. Your ratings and comments should reflect only “contractor liable” performance. You may supplement your knowledge with the knowledge and judgment of others in your organization.

Please enter the requested information in SECTION C for the person primarily responsible for completing the questionnaire, and then transmit the completed questionnaire to the point of contact identified above. Thank you for your assistance in this matter.

PLEASE DO NOT PROVIDE COMPLETED QUESTIONNAIRES TO THE OFFEROR

SECTION A (To Be Completed by the Offeror)

1. Name of Offeror/Contractor: __________________________________________________

Address of Offeror/Contractor: __________________________________________________

2. Contract Number: ___________________________________________________________ Task or Order No., where applicable: ______________________________________________

3. Period and Place of Performance: _______________________________________________

4. Description of Work/Scope of Effort (max. 50 words): ______________________________

5. POC Name: ________________________________________________________________ Address: _____________________________________________________________________ Tel. No.: Voice: ___________________________ Facsimile: ___________________________

6. Method and Date Questionnaire Sent to POC

Date: _________________________ Method: ________________________________________

SECTION B (To Be Completed by Evaluator) O-Outstanding; E-Excellent; G-Good;

M-Marginal; U-Unsatisfactory/A-Not Applicable

1. Overall Contract Outcome: O E G M U N/A

Ability to satisfactorily complete all tasks while conforming to customer requirements, standards of good workmanship and safe practices.

Comments: ___________________________________________________

2. Cost Performance: O E G M U N/A

Ability to accurately forecast and control costs throughout all phases of the contract.

Comments: ___________________________________________________

3. Schedule Performance: O E G M U N/A

Ability to develop accurate work schedules and adhere to those schedules as well as the ability to adapt to changes in requirements and work schedules.

Comments: ___________________________________________________

4. Technical Performance: O E G M U N/A

Ability to overcome technical challenges by applying sound engineering principles, complete required engineering analyses, and develop adequate technical reports and plans.

Comments: ___________________________________________________

5. Customer Relations: O E G M U N/A

Degree of customer satisfaction based on the contractor's cooperative behavior, general business-like concern for the interest of the customer, and customer orientated management practices.

Comments: ___________________________________________________

6. Subcontracting Plan Goals: O E G M U N/A

Compliance with subcontracting plan goals for Small, Small Disadvantaged, Veteran Owned, Service Disabled Veteran Owned and Women-owned business concerns and monetary targets for such concerns.

Comments: ___________________________________________________

SECTION C (To Be Completed by Evaluator)

Please transmit completed questionnaire by US Mail to Mr. Reese Van Wyen, Naval Research Laboratory, Code 3220. 4555 Overlook Ave, S.W. Washington, DC 20375, or by email to reese.vanwyen@nrl.navy.mil

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